Early surgical correction of buried penis

Abstract

Introduction: Buried penis is a developmental condition characterized by normal size penis that appears smaller or hidden by suprapubic fat. Many complications are associated with buried penis, including poor cosmoses, poor hygiene, difficult accessibility, and recurrent balanitis. Urinary tract infection, negative feeling by parents and patients. Different surgical techniques have been described to correct the condition.

Aim: The aim of this study was to present our result of early surgical correction of buried penis.

Results: A total of 94 patients underwent correction of buried penis. 80 (85%) patients were less than 2 years of age. The mean follow-up was 8 months, ranging from 6 to 22 months. The most common types of anomaly were buried penis [65 (59.5%)], concealed penis [21 (22.3%)], and trapped penis [eight (8.5%)]. The early postoperative complications were edema [10 (10.6%)], bleeding [four (4.2%)], excess inner prepuce [three (3.1%)], redundant skin [two (2.1%)], and infection [one (1.06%)]. The late postoperative complications were partial recurrence in 6.3%. In 63.8% the skin was adequate and there was no need for additional skin flap; in 27.6% we created payers flap and in 8.5% we used the long inner prepuce.

Conclusion: Early surgical correction of buried penis is safe and is associated with minimal complications.

Keywords: buired penis, circumcision, trapped penis